Step 1: Line a deep skillet with 2 layers of paper towels and fill with 1 to 2 inches of water, bring to a boil.
Step 2: Break one egg into each buttered ramekin and season with salt and pepper to taste. Pour 2 tsp of heavy cream around each unbroken egg yolk.
Step 3: Sprinkle with 2 teaspoons grated cheese.
Step 4: Place all 4 ramekins in skillet and turn down heat so water is simmering. Cover and steam eggs for 4-6 minutes or until whites are set. If you like runny yolks, serve now. If you like yolks cooked longer, then continue to steam a little longer.
Step 5: Garnish with your favorite toppings. I serve on toast if I am not low carbing and if I am, I just enjoy as is. (salsa, crumbled bacon, etc...)
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